Cardiac Rehabilitation

Closing the Gap in Cardiac Rehabilitation Use After Percutaneous Coronary Intervention

Since 2019, BMC2 and the Michigan Value Collaborative (MVC) have been working together to improve cardiac rehab utilization. This collaboration has led to the creation of the Michigan Cardiac Rehab (MiCR) Network. MiCR aims to equitably increase participation in cardiac rehab for all eligible individuals in Michigan.

Our Goals

  • Share best practices to improve cardiac rehabilitation use after PCI, TAVR, and cardiac surgery, across sites in Michigan. 
  • Increase enrollment in cardiac rehab from 30% to 40% by 2024 for all eligible conditions.

    Learn more about MiCR and access helpful resources below

      Our Accomplishments & Activities

      Accomplishments 

      Over the last 11 years BMC2 has achieved a dramatic improvement in referral to cardiac rehabilitation, from 64% in 2011 to 90% in 2020. However, significant opportunities remain to improve utilization of cardiac rehabilitation once a referral is made.

       

      Our Activities

      • We’ve established and regularly convene a group of physicians and other cardiac rehabilitation personnel from MVC, BMC2-PCI, and Michigan Structural Heart Consortium (MISHC) hospitals.
      • We track physician/provider endorsement of and referral to cardiac rehabilitation.
      • We meet with BCBSM leadership to discuss ways to understand the financial barriers patients face and discuss ways to reduce this barrier.
      • We issue reports on cardiac rehabilitation utilization and trends in improvement over time.

       

      Our Meeting Presentations

      MiCR Annual Meeting, October 10, 2022

      Welcome and Introduction to MiCR
      Michael P. Thompson, PhD
      Co-Director, MVC, Co-Director, MiCR

      Getting Buy-in From Clinicians and Administrators
      Frank Smith, MD
      Trinity St. Joseph Mercy Ann Arbor

      Cardiac Rehab Referral Buy-in
      Rob Snyder, EP, MSA
      McLaren Greater Lansing

      Navigating Insurance Challenges
      Jackie Evans, BBA, LRT
      Covenant HealthCare

      Minimizing Insurance Delays to Starting Cardiac Rehabilitation
      Robert Berry, MS
      Henry Ford Hospital

      Patient Partner Innovators
      Greg Merritt, PhD

      Design Discussion for Innovation
      Tom Cascino, MD, and Larrea Young
      Health Behavior Optimization for Michigan (HBOM)

       

      Previous Meetings

      Michigan Cardiac Rehab (MiCR) Network Meeting
      March 15, 2022
       

      Cardiac Rehabilitation Resources

      Toolkits & Best Practices

      The MiCR Best Practices Toolkit is your guide to strategies to improve cardiac rehab enrollment and attendance. Outlined in the toolkit are initiation, maintenance, and innovation strategies all designed to aid you in helping your patients get the most out of cardiac rehab.

      The Million Hearts Initiative has developed a Cardiac Rehabilitation Change Package. Utilize the package to help your quality improvement team put strategies and systems into place for improved care of eligible patients. In it you'll find change concepts and ideas, tools, and resources.

      Additional Resources

      Insurance

      Billable ICD 10 Codes and Required Documentation

      Conditions of Coverage for Outpatient Cardiac Rehabilitation Programs

      CR Phase1 Productivity Capture EPIC-CR Flowsheet

      Glossary of Health Coverage and Medical Terms